Andre Maurice Harvey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009592 Issued in NC

Practice address

9711 David Taylor Dr Apt 104
Charlotte, NC 28262-2367

Phone

(980) 202-2526

NPI assigned

Jul 8, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1003257023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 UNIVERSITY CITY BLVD STE A3-153",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133501",
            "telephone_number": "980-202-2526",
            "fax_number": "855-655-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 DAVID TAYLOR DR APT 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622367",
            "telephone_number": "980-202-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5108 Reagan Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282063103",
            "country_code": "US",
            "telephone_number": "704-596-0505 x3220",
            "fax_number": "704-596-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "ANDRE",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Edwards Hartz, NNP
• Jennifer Wiener Hartzell, PSYD
• Matthew Leo Hartzell, MD
• Elizabeth A Hartzog, OT
• Amy Love Harvell, FNP-C
• Bianca K Harvey, MS, LPC-A
• Jaquaya Renae Harvey
• Jeremy Robert Harvey, M.D.
• Justin T Harvey, DPT, PT
• Katherine Frances Boruff Harvey, MSN, RN, AGPCNP-BC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.